Individual
SUSAN CAROL NOKLEBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MS, LSN
Contact information
Practice address
3300 GILLETT DR NW, BEMIDJI, MN 56601-5668
(218) 333-3100
(218) 333-3175
Mailing address
912 DONALD AVE SE, BEMIDJI, MN 56601-4904
(218) 751-3353
(218) 333-3175
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R 075546-5
MN
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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